<div class="layuimini-container">
    <form id="app-form" class="layui-form layuimini-form">
        
        <div class="layui-form-item">
            <label class="layui-form-label required">二维码</label>
            <div class="layui-input-block layuimini-upload">
                <input name="image" class="layui-input layui-col-xs6" readonly  placeholder="请上传二维码" value="{$row.qrcode_url|default=''}">
                <div class="layuimini-upload-btn">
                    <span><a class="layui-btn" data-upload="image" data-upload-number="one" data-upload-exts="png|jpg|ico|jpeg" data-upload-icon="image"><i class="fa fa-upload"></i> 上传</a></span>
                </div>
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">二维码备注名</label>
            <div class="layui-input-block">
                <input type="text" name="qrcode_remark_name" class="layui-input" placeholder="请输入二维码备注名" value="{$row.qrcode_remark_name|default=''}">
                <tip>请输入二维码备注名</tip>
            </div>
         
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">扫码上限</label>
            <div class="layui-input-block">
                <input type="text" name="scan_code_limit" class="layui-input" placeholder="请输入扫码上限" value="{$row.scan_code_limit|default=''}">
                <tip>请输入扫码上限</tip>
            </div>
         
        </div>
     
        <div class="hr-line"></div>
        <div class="layui-form-item text-center">
            <button type="submit" class="layui-btn layui-btn-normal layui-btn-sm" lay-submit>确认</button>
            <button type="reset" class="layui-btn layui-btn-primary layui-btn-sm">重置</button>
        </div>

    </form>
</div>